CompletedNot Applicable

Maitland Mobilization vs. McKenzie Press-Up in Chronic LBP

Palestinian Territories50 participantsStarted 2023-12-01

Plain-language summary

ABSTRACT Objective:This study aimed to compare the efficacy of central posteroanterior (PA) Maitland mobilization with myofascial release (MFR) and McKenzie prone press-up (PPU) exercise with MFR in the treatment of adult patients with chronic non-specific low back pain (CNLBP). Materials and Methods:A randomized controlled trial was conducted at Salhab Center and Al Shifa's Specialized Complex in Bethlehem between January 2023 and May 2024. The study included 50 adult patients (aged 18-50) with CNLBP of more than 3 months but less than 2 years' duration, referred by an orthopedic specialist at Beit Sahour Medical Center. Participants were randomly assigned to two groups: one received central PA Maitland mobilization with MFR, and the other received McKenzie PPU exercise with MFR. Pain intensity, functional impairment, and fear-avoidance beliefs were assessed using the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Fear-Avoidance Beliefs Questionnaire (FABQ). Each patient underwent three sessions per week for four weeks.

Who can participate

Age range18 Years – 50 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * 18 and 50 years of age, * Male or female, with NSLBP localized between the lower rib and the gluteal fold * Persisting for more than three months and occurring on at least half of the days in the past three months, with pain affecting daily functional activities. * VAS score between 40 mm and 80 mm at the initial assessment * No use of NSAID medications during treatment sessions. Exclusion Criteria: * Patients younger than 18 or older than 50 years, * Those with mental health disorders, systemic or neurological diseases, or specific spinal pathologies such as facet joint dysfunction, piriformis syndrome, disc herniation, spinal tumors, spondylitis, spondylolisthesis, spinal stenosis, or spinal osteoporosis. Patients were also excluded if they had contraindications to mobilization, a history of spinal surgery or epidural injections, physiotherapy for LBP within the last six months, a VAS score outside the 40-80 mm range, pregnancy, or a current upper limb injury.

What they're measuring

Oswestry Disability Index

Timeframe: 4 WEEKS

Trial details

NCT IDNCT07364721

SponsorPalestine Ahliya University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-04-01